Get Hazardous Occurrence Investigation Report Form

This guide provides clear, step-by-step instructions for completing the Hazardous Occurrence Investigation Report Form online. Following these instructions will help ensure accurate and comprehensive reporting of hazardous occurrences.

Follow the steps to successfully complete the form.

1. Click ‘Get Form’ button to obtain the form and open it for editing.
2. Begin by entering the type of occurrence in section 1. Choose from options such as explosion, loss of consciousness, or disabling injury, and provide any necessary specifications.
3. Fill out the employer's name and mailing address in section 3, ensuring all fields, including postal code and telephone number, are accurately completed.
4. Document the site of the hazardous occurrence along with the date and time it took place. If applicable, include details about the weather conditions during the incident.
5. In section 4, provide a detailed description of the event, including any estimated costs associated with property damage.
6. Complete section 5 with the injured employee's name, age, occupation, years of experience, description of the injury, sex, and the direct cause of the injury. Indicate whether accident prevention training was provided.
7. Identify the direct causes of the hazardous occurrence in section 6, outlining all contributing factors determined during the investigation.
8. Outline the corrective measures that will be implemented in section 7, including the date of implementation and any reasons for not taking specific actions.
9. In section 8, provide contact information for the individual investigating the occurrence, including their name, title, email, and the date of the investigation.
10. Section 9 allows for comments from the workplace committee or health and safety representative regarding the investigation. Ensure they also provide their contact information.
11. For the final submission, make sure to circulate the report as outlined, sending copies to relevant parties, including the Minister of Labour and the workplace committee.
12. Once all sections are completed, review the form for accuracy. Users can then save changes, download, print, or share the form.

Complete your Hazardous Occurrence Investigation Report Form online today to ensure timely and effective incident reporting.